Mind Brain and Education - 2021 - Gini - Neuromyths About Neurodevelopmental Disorders Misconceptions by Educators and The
Mind Brain and Education - 2021 - Gini - Neuromyths About Neurodevelopmental Disorders Misconceptions by Educators and The
Mind Brain and Education - 2021 - Gini - Neuromyths About Neurodevelopmental Disorders Misconceptions by Educators and The
Neuromyths About
Neurodevelopmental Disorders:
Misconceptions by Educators
and the General Public
Silvia Gini1 , Victoria Knowland2,3 , Michael S.C. Thomas4 , and Jo Van Herwegen1
ABSTRACT— Neuromyths are commonly held misconcep- design evidence-based guidelines for educational practices
tions about the brain believed by both the general public with a strong research foundation), misconceptions about
and educators. While much research has investigated the the brain, or neuromyths, are prevalent (Dekker, Lee,
prevalence of myths about the typically developing brain, Howard-Jones, & Jolles, 2012). Common neuromyths
less attention has been devoted to the pervasiveness of neu- include: “students use only 10% of their brains”; “stu-
romyths about neurodevelopmental disorders, which have dents have different learning styles (e.g., visual, auditory,
the potential to exacerbate stigma. This preregistered study and kinaesthetic)”; or “water drinking enhances learning”
investigated to what extent neuromyths about neurodevel- (Howard-Jones, 2014).
opmental disorders (namely dyslexia, attention deficit hyper- Neuromyths originate from a variety of processes, includ-
activity disorder, autism spectrum disorders, and syndrome) ing the oversimplification of scientific results, sensational-
are endorsed by two groups: the general public and those ism, and omission of important information (Tardif, Doudin,
working in education. In an online survey, 366 members of & Meylan, 2015). Despite having been repeatedly debunked
the general public and 203 individuals working in education
in the scientific literature, their myth status meant that neu-
rated similar numbers of myths to be true, but more about
romyths are enduring and continue to circulate as scien-
neurodevelopmental disorders than general neuromyths. As
tifically based truths all over the world (Torrijos-Muelas,
the frequency of access to brain information emerged as a
González-Víllora, & Bodoque-Osma, 2021).
protective factor against endorsing myths in both popula-
Neuromyths are not only endorsed by the general
tions, we argue that this problem may be addressed via pro-
population, but also by teachers, where their existence
vision of neuroeducational resources.
might be exacerbated by the “cultural distance” that
exists between the fields of neuroscience and education
(Howard-Jones, 2014, p. 817). The endorsement of neu-
romyths in teachers and educators has been extensively
General Neuromyths investigated (see Torrijos-Muelas et al., 2021 for a system-
Despite an increase in research and dissemination of atic review). For instance, a survey found that teachers in
educational neuroscience (an emerging field that aims to the UK and the Netherlands (n = 242) recognized only half
of the neuromyths as incorrect (Dekker et al., 2012).
1
Department of Psychology and Human Development, UCL Institute
When it comes to spotting neuromyths, those work-
of Education ing in education usually outperform the general public
2 Department of Speech and Language Sciences, Newcastle University
(Macdonald, Germine, Anderson, Christodoulou, &
3 Department of Psychology, Ulster University
4 Centre for Educational Neuroscience, Department of Psychological McGrath, 2017). Further research suggests that correct
Sciences, Birkbeck University of London identification of neuromyths can be predicted by years
spent in education and by the content of education (those
Address correspondence to Jo Van Herwegen, Department of Psychol-
ogy and Human Development, UCL Institute of Education, 25 Woburn who attended neuroscience courses performed better)
Square, London WC1H 0AA, UK; e-mail: [email protected] (Macdonald et al., 2017; Ruhaak & Cook, 2018).
Volume 15—Number 4 © 2021 International Mind, Brain, and Education Society and Wiley Periodicals LLC 289
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Neuromyths in Developmental Disorders
The circulation of neuromyths reflects an implicit belief what they consider key symptoms, such as letter-reversals
that an understanding of brain mechanisms can inform (Macdonald et al., 2017).
educational practice. Researching what neuromyths are ASD is found in around 1% of the population (Russell,
being held by different groups of people in relation to Rodgers, Ukoumunne, & Ford, 2014) and includes a range
their previous education and experience can throw a of social communication difficulties, restricted interests,
spotlight on where further translation issues need to be and highly repetitive behaviors (American Psychiatric
addressed. Association, 2013). A focus group showed seven common
ASD neuromyths (John, Knott, & Harvey, 2017): four of
them were related to the social dimension of the disorder,
Neurodevelopmental Disorders including beliefs that children on the spectrum do not like
To date, little research has focused on neuromyths surround- to be touched or are disinterested in any social relation-
ing neurodevelopmental disorders, and their endorsement ship. Yet, John et al. (2017) did not compare how common
among those working in education compared with those in these beliefs are or how these beliefs relate to exposure to
the wider community. As misconceptions in this domain neuroscience or professional occupation.
can form the basis of stigma (Corrigan & Watson, 2002), an ADHD is a neurodevelopmental condition characterized
investigation of the prevalence of neuromyths about devel- by persistent inattention, hyperactivity, and impulsivity
opmental disorders in these two populations provides a (American Psychiatric Association, 2013) with a 1.4%
helpful perspective on the topics that awareness campaigns prevalence in the UK (Russell et al., 2014). Some of the
should focus on. most common misconceptions parents and teachers hold
According to DSM V criteria, “neurodevelopmental dis- about ADHD regard the treatment and characteristics of
orders” include: intellectual disabilities, communication dis- the disorder. For example, West, Taylor, Houghton, and
orders, autism spectrum disorders (ASD), attention deficit Hudyma (2005) found that teachers incorrectly identified
hyperactivity disorder (ADHD), specific learning disorders special diets as an effective form of treatment for ADHD.
(such as dyslexia), motor disorders, Tourette’s, and tic dis- Misconceptions might influence parents’ acceptance of
orders. Except for a handful of studies that have examined different treatments: lower levels of misconceptions were
neuromyths about one neurodevelopmental disorder at a associated with more positive attitudes toward stimulant
time, few studies have examined neuromyths related to neu- medication (Sciutto, 2013). West et al.’ (2005) study included
rodevelopmental disorders in a broader sense either in the beliefs from parents and their child’s teacher: two groups
general population or in teachers. The most common neu- who are knowledgeable about ADHD. This might suggest
rodevelopmental disorders in the UK include dyslexia, ASD, that an even higher incidence of neuromyths about the
and ADHD, whereas the most common genetically caused disorder in the general population may exist.
learning difficulty is Down syndrome; therefore, these will Research on neuromyths related to genetic disorders,
form the focus of the current study. such as Down syndrome, is even scarcer. Down syndrome
(DS) is a genetic condition caused by extra genetic material
or translocation of genetic material on chromosome 21 and
Neuromyths on Dyslexia, ASD, ADHD, and Down is one of the most common chromosomal disorders in the
Syndrome UK, with a prevalence 1 in every 1,000 babies born (Lakhan-
Dyslexia is a learning difficulty affecting reading and spelling paul, 2020). Some of the most common myths regarding
(American Psychiatric Association, 2013) affecting up to individuals with DS concern their language ability (e.g.,
1 in 10 people in the UK (Snowling, 2013). One in two “What a child with learning difficulties can understand can
people believe that children with dyslexia see letters back- be measured by what that child can say”) (Cologon, 2013). In
ward (like letter-reversals, where b becomes d) (Macdonald semi-structured interviews of pregnant women in Australia,
et al., 2017). While it is true that children with dyslexia knowledge of DS was higher in those who had experience
make letter-reversals in their writing, so do their typically of other genetic disorders (Long, O’Leary, Lobo, & Dickin-
developing peers—especially in the first stages of reading son, 2018), suggesting a protective role of familiarity against
development; and the hypothesis that all children with misconceptions.
dyslexia see letters backward has been dismissed (Wolff &
Melngailis, 1996). Nevertheless, the majority of UK teachers
(91%) believe dyslexia to include visual perception difficul- Neurodevelopmental Disorders in the Classroom
ties, including letter-reversals (Washburn, Binks-Cantrell, Following the Salamanca Statement (UNESCO, 1994), all
& Joshi, 2014). Such myths can be detrimental to obtaining children have the right to be included in mainstream edu-
a diagnosis, as parents and educators might hesitate to refer cation, including those with neurodevelopmental disorders,
the child for further assessment, if the child does not present and therefore, it is likely teachers encounter children with
Table 1
Demographic Characteristics of the Sample
The Current Study
The current research compared beliefs about the typically Working in General
developing brain (“general neuromyths”) to those relating to education population
neurodevelopmental disorders (“neurodevelopmental neu- (n = 203) (n = 366)
romyths”). By recruiting a UK-based sample of members
Age group
of the general public and those working in education, it 18–25 14 (7%) 38 (10%)
explored the following hypotheses: 26–35 40 (20%) 84 (23%)
1. Based on the existing literature, it was predicted that all 36–45 65 (32%) 91 (25%)
groups would endorse at least some neuromyths but that 46–55 52 (26%) 104 (28%)
neuromyths related to neurodevelopmental disorders 56–65 26 (13%) 31 (8%)
would be more common. 66+ 6 (2%) 17 (5%)
unknown 0 1 (1%)
2. Based on exposure to educational training and/or direct
School type work place
experience, it was predicted that mainstream class Preschools 9 (4%) N/A
teachers would hold fewer incorrect beliefs than the Primary 50 (25%) N/A
general public, and that Special Education Needs and Secondary 78 (39%) N/A
Disabilities (SEND) teachers would hold fewer incorrect Higher education 54 (27%) N/A
beliefs than mainstream classroom teachers. settings/colleges
We therefore predicted an interaction between myth type Formal disability diagnosis 14 (7%) 14 (4%)
Has a child with learning disability 48 (26%) 95 (27%)
(general vs. neurodevelopmental disorder) and group (public
Highest Education level
vs. mainstream teacher vs. SEND teacher). Secondary level or equivalent 17 (9%) 75 (21%)
3. With respect to the role of familiarity with disorders, Undergraduate degree or 94 (46%) 154 (42%)
and the role of interest in the brain, based on pre- equivalent
vious studies (e.g., Dekker et al., 2012; although see Postgraduate degree or above 92 (45%) 137 (37%)
Herculano-Houzel, 2002), we predicted that those with My training course covered the
more familiarity with a disorder would hold fewer incor- development of children with
rect beliefs; and that those with an interest in the brain, developmental disabilities
Yes 47 (27%) N/A
and those who regularly access information about the
A little 71 (41%) N/A
brain, would hold more incorrect beliefs. These predic- No 53 (30% N/A
tions were tested separately for the general public and Cannot remember 4 (2%) N/A
for those working in education.
Donoghue, Horton, Lodge, & Hattie, 2018) and 0.67 for the
neurodevelopmental neuromyths.
Familiarity with developmental disorders was measured
by the average familiarity score (0 not familiar at all, 1 some-
what familiar, 2 very familiar) for the seven groups for the
question: “How familiar are you with each of the following
disorder group?” and seven disorder groups were provided:
ADHD, autism, dyscalculia, dyslexia, dyspraxia, Down syn-
drome, others.
Respondents’ interest in neuroscience was measured by
the reported level of agreement (1 strongly disagree to 7
strongly agree) related to the statement: “I find scientific
knowledge about the brain and its influence on learning
interesting.”
Accessing information about the brain was based on
reported frequency of how often information about the brain
Fig. 1. Roles within school for the 203 respondents who were was accessed: weekly, monthly, every 3–6 months, once per
employed in education. EdPsych = Educational Psychologist; year, or hardly ever or never.
SENCO = Special Educational Needs Coordinator, TA = Teaching
Assistant.
Procedure
Materials Participants completed an online survey that was distributed
General Neuromyths via the online survey platform Qualtrics. Participants were
The study adopted the “Brain knowledge statements survey” asked to consent to take part in the study by completing an
presented as part of the Ruhaak and Cook (2018) question- opt-in consent form. The survey took 15–30 min to com-
naire. It consisted of 15 statements (9 correct, 6 incorrect) plete.
about the brain. Participants first completed the two sections about gen-
eral neuromyths and neurodevelopmental neuromyths.
These statements were presented in random order. Next,
Neurodevelopmental Neuromyths
participants completed a section where demographic infor-
This questionnaire consisted of 30 statements about
mation including age category, highest level of education,
neurodevelopmental disorders including: nonspecific neu-
and career. Those who reported to be working in the educa-
rodevelopmental neuromyths that applied to more than
tion sector were presented with additional questions about
one neurodevelopmental disorder, and statements referred
their role within the school and experience working with
to specific neurodevelopmental disorders (including ASD,
SEND children.
ADHD, Down syndrome, and dyslexia). The statements
The study, the survey, and analyses were preregistered via
derived from a number of previous studies that had mostly
the Open Science Framework (see osf.io/acztx).
focused on neuromyths pertaining to individual disorders
(see Table 2 for the statements and their sources). Compared
with general neuromyths, there was a higher ratio of false Scoring
statements (n = 21) compared with true statements (n = 9), In order to compare scores across the different neuromyths,
seeing that most of the previous studies had focused on all answers were recoded using a scale of 1–4 from least
incorrect beliefs around neurodevelopmental disorders (e.g. to most correct answer, thereby generating a total score for
John et al., 2017; Washburn et al., 2014). the overall correct belief of neuromyths, with lower scores
For both types of neuromyths, participants rated each indicating higher acceptance of neuromyths. However, for
statement on a 4-point Likert scale (“True,” “Probably ordinal regression analyses, raw scores from 1 to 4 were used
true,” “Probably false,” and “False”) rather than a 2-point as outcome variables.
(True/False) scale as the current evidence base for some of
the neuromyths about neurodevelopmental disorders dis-
cussed in the following is still developing and we anticipated RESULTS
that participants might be reticent to give definite answers
for all of them. Confirmatory Analyses
The overall reliability for the survey was 0.73, with a reli- In the preregistered hypotheses, we predicted that main-
ability of 0.55 for general myths 0.55 (in line with Horvath, stream teachers would hold more incorrect beliefs than
Table 2
List of Neurodevelopmental Statements, Whether They Were True or False, Category and Source
Stimulant drugs are the most common type of drug used to T ADHD Sciutto, Terjesen, &
treat children with Attention Deficit Hyperactivity Disorder Frank, 2000
(ADHD)
Most ADHD children “outgrow” their symptoms and F ADHD Sciutto et al., 2000
subsequently function normally in adulthood
Reducing dietary intake of sugar or food additives is generally F ADHD Sciutto et al., 2000
effective in reducing the symptoms of ADHD
Children with ADHD have difficulties with focus and T ADHD American Psychiatric
concentration Association, 2013
It is possible for an adult to be diagnosed with ADHD T ADHD Sciutto et al., 2000
Current research suggests that ADHD is largely the result of F ADHD Sciutto et al., 2000
ineffective parenting skills
Symptoms of depression are found more frequently in children T ADHD Sciutto et al., 2000
with ADHD than in children without ADHD
If a child responds to stimulant medications (e.g. Ritalin), then F ADHD Sciutto et al., 2000
they probably have ADHD
Research has shown that prolonged use of stimulant F ADHD Sciutto et al., 2000
medications for ADHD leads to increased addiction (i.e.
drug, alcohol) in adulthood
Children with autism are unable to notice social rejection F Autism John et al., 2017
Children with autism do not have empathy F Autism Baron-Cohen, 2009
Some children with autism have a special talent or savant skill T Autism John et al., 2017
Autism only occurs in boys F Autism
Children with autism do not like to be touched F Autism John et al., 2017
Children with Down syndrome have smaller brains T Down syndrome Pinter et al., 2001
Children with Down syndrome cannot understand what they F Down syndrome Cologon, 2013
are reading
People with Down syndrome are always happy and affectionate F Down syndrome Down syndrome
Scotland website
Children with Down syndrome cannot learn anything complex F Down syndrome Cologon, 2013
All children with dyslexia see letters backward F Dyslexia Washburn et al., 2014
Children who are dyslexic tend to have lower IQ scores than F Dyslexia Washburn et al., 2014
children who are not dyslexic
In some children dyslexia is caused by visual problems F Dyslexia Washburn et al., 2014
Children with dyslexia can often excel in other areas T Dyslexia NHS, 2018
Dyslexia can be helped by using colored lenses and/or colored F Dyslexia Washburn et al., 2014
overlays
Learning difficulties associated with developmental differences F Nonspecific neurodevelopmental MacDonald et al., 2017
in brain function in children with disorders cannot be neuromyth
improved by education
All children with hearing impairments benefit from visual F Nonspecific neurodevelopmental Marschark, Morrison,
information neuromyth Lukomski, Borgna, &
Convertino, 2013
The multisensory approach (e.g., supporting oral information T Nonspecific neurodevelopmental Galiatsos, Kruse, &
with visual information) to learning is always better for neuromyth Whittaker, 2019
children with disorders
What a child with learning difficulties can understand can be F Nonspecific neurodevelopmental Cologon, 2013—referring
measured by what that child can say neuromyth to Down syndrome
Children with autism and ADHD and alike can be cured F Nonspecific neurodevelopmental Galiatsos et al., 2019
neuromyth
Disorders can be caused by adverse immune reactions to F Nonspecific neurodevelopmental Based on Wakefield
vaccinations neuromyth et al., 1998—
RETRACTED
Autism and ADHD are more common in the 1st degree T Nonspecific neurodevelopmental Sciutto et al., 2000
biological relatives (i.e. mother, father, siblings) of children neuromyth
with autism or ADHD, respectively, than in the general
population
Table 3
Summary of Responses to General Neuromyths and Neuromyths Relating to the Neurodevelopmental Disorder for Those Who Do and
Do Not Work in Education
Note. Responses were scored on a scale of 1–4, with lower scores indicating belief in neuromyths.
Table 4
Results from Linear Regression Model Assessing the Beliefs of
Neuromyths
Term B 95% CI t p
Intercept 3.229 [3.195, 3.263] 186.393 <.001
Neuromyth type −.086 [−0.127, −0.044] −4.047 <.001
Work −.019 [−0.062, 0.023] −.898 .369
Neuromyth −.018 [−0.070, 0.034] −.671 .502
type × work
Table 5
Regression Results for People Working in Education Examining Factors That Impact the Endorsement of General as well as Neurodevel-
opmental Neuromyths
Term B 95% CI t p
Intercept 3.338 [3.149, 3.528] 34.505 <.001
Are you interested in knowledge about the brain? −.046 [−0.112, 0.019] −1.384 .166
How often do you access information about the brain? −.042 [−0.080, −0.004] −2.143 .032
Familiarity with developmental disorders .003 [−0.028, 0.035] .196 .845
Type of neuromyth −.162 [−0.357, 0.032] −1.635 .102
Familiarity × type .015 [−0.023, 0.053] .780 .436
Interested × how often .011 [−0.012, 0.034] .934 .351
Table 6
Regression Results for the General Public Examining Factors That Impact the Endorsement of General as well as Neurodevelopmental
Neuromyths
Predictor B 95% CI t p
Intercept 3.295 [3.177, 3.413] 54.823 <.0001
Are you interested in knowledge about the brain −.028 [−0.067, 0.010] −1.449 .147
How often do you access information about the brain −.036 [−0.059, −0.014] −3.137 .002
Familiarity with developmental disorders .015 [−0.004, 0.033] 1.537 .124
Type of neuromyth −.066 [−0.169, 0.038] −1.246 .213
Familiarity × type −.008 [−0.030, 0.014] −0.704 .481
Interested × how often −.002 [−0.013, 0.010] −0.309 .757
Table 7
T-tests on Accurate Identification of Neurodevelopmental Neuromyths for Those in Education Who Had or Had Not Worked With
Children With Developmental Disorders (Total n = 203)
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Limitations and Future Directions
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